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    Request for Information

    * denotes a required field.
    The following information is optional.
    Your birthdate and current school helps us connect your accounts if you end up applying.
    Birthdate
    Birthdate
    If you are okay with us texting you, please put your cell phone number below.
    Sometimes we send information packets in the mail. If you'd like to receive one, please fill in your address.
    Mailing Address
    Mailing Address